ATI RN
ATI Pediatric Proctored Exam 2023
1. Which strategy is most effective in preventing existing challenging behaviors?
- A. Ignoring the behaviors
- B. Individualized interventions
- C. Providing flexible rules
- D. Punishment
Correct answer: B
Rationale: Individualized interventions are tailored to address the specific needs and triggers of the individual's challenging behaviors. By customizing the approach to each person, it increases the likelihood of effectively preventing and managing the existing challenging behaviors.
2. The patient is receiving a heparin infusion for the treatment of pulmonary embolism. Which assessment finding is most likely related to an adverse effect of heparin?
- A. HR of 60 bpm
- B. BP of 160/88
- C. Discolored urine
- D. Inspiratory wheezing
Correct answer: C
Rationale: The primary and most serious adverse effect of heparin is bleeding. However, discolored urine can indicate bleeding into the urinary tract, which is a potential adverse effect of heparin therapy. While changes in heart rate (HR) and blood pressure (BP) can occur due to various reasons, discolored urine specifically points towards a potential adverse effect related to heparin therapy.
3. A child is being cared for following a head injury. Which of the following findings should indicate to the healthcare provider that the child is developing diabetes insipidus?
- A. Urine specific gravity of 1.045
- B. Sodium level of 155
- C. Blood glucose level of 45
- D. Urine output of 35 ml per hour
Correct answer: B
Rationale: In a child with a head injury, the development of diabetes insipidus can occur due to pituitary hypofunction, leading to a deficiency of antidiuretic hormone. An elevated sodium level (hypernatremia) is a key finding in diabetes insipidus due to the excessive loss of free water in the urine, resulting in increased sodium concentration in the blood.
4. The healthcare provider is preparing medication instructions for a child who has undergone a kidney transplant and is prescribed cyclosporine. The parents ask the provider about the reason for the cyclosporine. Which rationale for this medication should the healthcare provider include in the response?
- A. Suppress rejection
- B. Decrease pain
- C. Improve circulation
- D. Boost immunity
Correct answer: A
Rationale: Cyclosporine is used to suppress the immune system and prevent rejection of the transplanted kidney. It helps to reduce the risk of the body attacking and rejecting the new organ. This medication is crucial in ensuring the success of the kidney transplant by keeping the immune system in check.
5. Which stage of motor learning is illustrated as the toddler attempts to place a shape into a container multiple times using an effective reach and grasp pattern often but makes errors?
- A. Skill Acquisition
- B. Perceptual Learning
- C. Functional Performance
- D. Exploratory Activity
Correct answer: B
Rationale: The correct answer is Perceptual Learning. In this stage, the toddler learns from sensory input and refines their movements over time, even though errors may still occur. This process involves improving coordination and fine-tuning motor skills based on feedback from repeated attempts.
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